A Comparative Analysis of Methods for Rehabilitation of Unilateral Spatial Neglect (USN) in Stroke Patients: Conventional Therapy, Computerized Cognitive Training and Eye Movement Biofeedback Training

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Stroke remains one of the leading causes of mortality and disability worldwide. Between 30% and 40% of patients who have had an acute cerebral hemorrhage, develop unilateral spatial neglect syndrome (USN). USN is observed in 24% of patients with left-hemispheric stroke and 45% of patients with right-hemispheric lesions in the acute phase acute phase and in 20% of patients in the chronic phase. The presence of USN significantly complicates the rehabilitation process and negatively affects the functional outcomes. The complexity of USN correction is due to the heterogeneity of its manifestations and combination with other cognitive disorders. In 30-50% of patients with USN anosognosia is observed, in 60% - memory and attention disorders. Traditional methods of rehabilitation lead to significant improvement in 30-50% of patients with USN. The use of combined methods of treatment, including pharmacotherapy and non-medication methods, can improve efficacy by up to 70-80%. This indicates the need to develop and investigate new approaches to correct USN. Despite the growing number of studies in this area, there is still no unified approach to selecting the optimal method of USN correction for each individual patient. Different methods of rehabilitation may have different effects on neuroplasticity processes, which opens new perspectives for optimization of rehabilitation strategies.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 80
Healthy Volunteers: f
View:

• Normal cognitive development in accordance with age and educational level;

• diagnosis with codes I63, I61 (ICD);

• presence of unilateral spatial neglect syndrome in the neuropsychological status.

Locations
Other Locations
Russian Federation
Federal Center of Brain and Neurotechnologies of the FMBA of Russia
RECRUITING
Moscow
Federal Center of Brain and Neurotechnologies of the FMBA of Russia
RECRUITING
Moscow
Contact Information
Primary
Salima Eneeva
eneeva@fccps.ru
+79629155338
Backup
Marina Alekseevna, Dr
shurupova@fccps.ru
+79162283211
Time Frame
Start Date: 2025-01-09
Estimated Completion Date: 2025-12-15
Participants
Target number of participants: 30
Treatments
Active_comparator: Conventional group
Patients with prescribed traditional neuropsychological rehabilitation. The rehabilitation program consisted of 6-10 sessions. On average, one session lasted 25-30 minutes, which was also limited by inpatient conditions (no correctional sessions with a neuropsychologist longer than 30 minutes) and the patient's fatigue.
Experimental: Eye tracker group
Patients with assigned rehabilition to the alternative communication device - oculograph C Eye Pro (Assistech). The correctional program consisted of 6-10 sessions. On average, one session lasted 25-30 minutes, which was also limited by inpatient conditions (no correctional sessions with a neuropsychologist longer than 30 minutes) and patient fatigue.
Experimental: Cognitive training group
Patients with assigned rehabilitation on the RehaCom modular therapy system (HASOMED GmbH;). The rehabilitation program consisted of 6-10 sessions. One session lasted 25-30 minutes, which was also limited by inpatient conditions (no correctional sessions with a neuropsychologist longer than 30 minutes) and the patient's fatigue.
Related Therapeutic Areas
Sponsors
Leads: Federal Center of Cerebrovascular Pathology and Stroke, Russian Federation Ministry of Health

This content was sourced from clinicaltrials.gov